Vanderburgh County Fire Department 2025 Full-Time Firefighter List ApplicationPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 5Desired Position: *Full Time Firefighter/ParamedicFull Time Firefighter/EMTName *FirstMiddleLast*** MIDDLE NAME IS REQUIRED FOR BACKGROUND CHECK PURPOSES ***Address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Phone *Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Social Security # *Driver's License #Are you age 18 or older? *YesNo Service Reason Address Are you a citizen of the United States? *YesNoIf no, are you authorized to work in the U.S?YesNoHave you ever been convicted of a felony? *YesNoIf yes, explain:Have you ever worked for Scott Township Fire & EMS? *YesNoWhen did you work for us?NextEducationHighest Level of Education? *Some High SchoolGEDHigh School DiplomaSome CollegeAssociate's DegreeBachelor's DegreeMaster's DegreeHigh SchoolAddressFromToCollegeDegreeAddressFromTo PreviousNextMilitary ServiceHave you ever served or are you currently serving in the U.S. Military? *YesNoBranchFromToRank At DischargeType of DischargeIf Other Than Honorable, ExplainPreviousNextPrevious EmploymentCompanyAddressPhoneSupervisorJob TitleResponsibilitiesCurrently employed here?YesNoStart DateEnd DateReason For LeavingMay we contact your previous supervisor for a reference?YesNoAdd another employer?YesNoCompanyPhoneAddressSupervisorJob TitleResponsibilitiesCurrently employed here?YesNoStart DateEnd DateReason For LeavingMay we contact your previous supervisor for a reference?YesNoAdd another employer?YesNoCompanyPhoneAddressSupervisorJob TitleResponsibilitiesCurrently employed here?YesNoStart DateEnd DateReason For LeavingMay we contact your previous supervisor for a reference?YesNoPreviousNextCurrent Certification / Licenses *** ALL REQUIRED LICENSES AND CERTIFICATIONS MUST BE SUBMITTED WITH APPLICATION TO ENABLE PROCESSING.*** Please call with any certification questions prior to form submission. FF/EMT Minimum Required List: - Driver's License - EMT Certification - AHA BLS Provider CPR Certification - FF I/II and HAZMAT Ops Certificates FF/Paramedic Minimum Required List: - Driver's License - Paramedic License - AHA BLS Provider CPR Certification - ACLS, PALS, ITLS or PHTLSDriver's License * Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.CPR Certification (AHA BLS Provider) * Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.EMT Certification or Paramedic License * Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.Additional Certifications Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.*** FF I/II, HAZMAT OPS ARE A PREREQUISITE FOR FF/EMT APPLICANTS. ***Other Specialized Training / Classes Relevant To Desired PositionTitle of Special CourseSkills Aquired / Credits EarnedCompany / Sponsor / SchoolAdd Another?Title of Special CourseSkills Aquired / Credits EarnedCompany / Sponsor / SchoolAdd Another?Title of Special CourseSkills Aquired / Credits EarnedCompany / Sponsor / SchoolPreviousSubmit
